Individual
ANDRE LOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
750 SPAANS DR STE F, GALT, CA 95632-8609
(209) 744-9099
(209) 744-9910
Mailing address
768 GRIFFEY WAY, GALT, CA 95632-3065
(916) 612-2452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17341
CA
Other
Enumeration date
02/16/2024
Last updated
02/23/2024
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